Impact of physical activity and performance on medical care costs among the Japanese elderly

Geriatrics and Gerontology International

Volumn 11, Issue 2, 2011, Pages 157-165

  Yang, Guang ^a,e   Niu, Kaijun ^a   Fujita, Kazuki ^d   Hozawa, Atsushi ^b   Ohmori Matsuda, Kaori ^b   Kuriyama, Shinichi ^b   Nakaya, Naoki ^b   Ebihara, Satoru ^c   Okazaki, Tatsuma ^c   Guo, Hiu ^a   Miura, Chihaya ^a   Takahashi, Hideko ^b   Arai, Hiroyuki ^c   Tsuji, Ichiro ^b   Nagatomi, Ryoichi ^a  

^a TOHOKU UNIVERSITY   (Japan)

^b Division of Epidemiology   (Japan)

^c TOHOKU UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

^d OSAKA UNIVERSITY   (Japan)

^e SHENYANG NORMAL UNIVERSITY   (China)

Author keywords

Community dwelling elderly population; Medical care costs; Physical activity; Physical performance

Indexed keywords

AGED; ARTICLE; ELDERLY CARE; FEMALE; GERIATRICS; HEALTH CARE COST; HUMAN; HUMAN EXPERIMENT; JAPANESE; MAJOR CLINICAL STUDY; MALE; NATIONAL HEALTH INSURANCE; PERFORMANCE MEASUREMENT SYSTEM; PHYSICAL ACTIVITY; PHYSICAL PERFORMANCE; PRIORITY JOURNAL; QUESTIONNAIRE;

AGED; FEMALE; HEALTH CARE COSTS; HUMANS; JAPAN; MALE; MOTOR ACTIVITY;

EID: 79952715925     PISSN: 14441586     EISSN: 14470594     Source Type: Journal    
DOI: 10.1111/j.1447-0594.2010.00651.x     Document Type: Article

References (30)

1. Yu W, Ravelo A, Wagner TH etal. The relationships among age, chronic conditions, and healthcare costs. Am J Manag Care 2004; 10: 909-916.
2. Morgan SG. Booming prescription drug expenditure: a population-based analysis of age dynamics. Med Care 2005; 43: 996-1008.
3. Ministry of internal affairs and communications, statistics bureau: population census. [Cited 4 Oct 2007.] Available from URL: (In Japanese.)
4. Welfare And Medical Service NETwork System (WAM NET). [Cited 5 Oct 2007.] Available from URL: (In Japanese.)
5. Sundquist K, Qvist J, Sundquist J etal. Frequent and occasional physical activity in the elderly: a 12-year follow-up study of mortality. Am J Prev Med 2004; 27: 22-27.
6. Schroll M. Physical activity in an ageing population. Scand J Med Sci Sports 2003; 13: 63-69.
7. Hu G, Jousilahti P, Barengo NC etal. Physical activity, cardiovascular risk factors, and mortality among Finnish adults with diabetes. Diabetes Care 2005; 28: 799-805.
8. de Vreede PL, van Meeteren NL, Samson MM etal. The effect of functional tasks exercise and resistance exercise on health-related quality of life and physical activity. A randomised controlled trial. Gerontology 2007; 53: 12-20.
9. Wang F, McDonald T, Reffitt B etal. BMI, physical activity, and health care utilization/costs among Medicare retirees. Obes Res 2005; 13: 1450-1457.
10. Tsuji I, Takahashi K, Nishino Y etal. Impact of walking upon medical care expenditure in Japan: the Ohsaki Cohort Study. Int J Epidemiol 2003; 32: 809-814.
11. Keeler EB, Manning WG, Newhouse JP etal. The external costs of a sedentary life-style. Am J Public Health 1989; 79: 975-981.
12. Aoyagi Y, Park H, Watanabe E etal. Habitual physical activity and physical fitness in older Japanese adults: the Nakanojo Study. Gerontology 2009; 55: 523-531.
13. Brach JS, FitzGerald S, Newman AB etal. Physical activity and functional status in community-dwelling older women: a 14-year prospective study. Arch Intern Med 2003; 163: 2565-2571.
14. Brach JS, VanSwearingen JM, FitzGerald SJ etal. The relationship among physical activity, obesity, and physical function in community-dwelling older women. Prev Med 2004; 39: 74-80.
15. Ringsberg KA, Gardsell P, Johnell O etal. The impact of long-term moderate physical activity on functional performance, bone mineral density and fracture incidence in elderly women. Gerontology 2001; 47: 15-20.
16. Yamauchi J, Nakayama S, Ishii N. Effects of bodyweight-based exercise training on muscle functions of leg multi-joint movement in elderly individuals. Geriatr Gerontol Int 2009; 9: 262-269.
17. Bocalini DS, Serra AJ, Murad N etal. Water- versus land-based exercise effects on physical fitness in older women. Geriatr Gerontol Int 2008; 8: 265-271.
18. Niu K, Hozawa A, Guo H etal. Serum C-reactive protein even at very low (<1.0mg/l) concentration is associated with physical performance in a community-based elderly population aged 70years and over. Gerontology 2008; 54: 260-267.
19. Pate RR, Pratt M, Blair SN etal. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273: 402-407.
20. Niu K, Hozawa A, Fujita K etal. Influence of leisure-time physical activity on the relationship between C-reactive protein and hypertension in a community-based elderly population of Japan: the Tsurugaya project. Hypertens Res 2005; 28: 747-754.
21. Duncan PW, Weiner DK, Chandler J etal. Functional reach: a new clinical measure of balance. J Gerontol 1990; 45: M192-M197.
22. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39: 142-148.
23. Iwata M, Kondo I, Sato Y etal. An ankle-foot orthosis with inhibitor bar: effect on hemiplegic gait. Arch Phys Med Rehabil 2003; 84: 924-927.
24. Niino N, Imaizumi T, Kawakami NA. Japanese translation of the Geriatric Depression Scale. Clin Gerontol 1991; 10: 85-87.
25. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-198.
26. Chobanian AV, Bakris GL, Black HR etal. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289: 2560-2572.
27. Brink T, Yesavage J, Lum O etal. Screening tests for geriatric depression. Clin Gerontol 1982; 1: 37-44.
28. Siu AL. Screening for dementia and investigating its causes. Ann Intern Med 1991; 115: 122-132.
29. Pereira MA, Kriska AM, Day RD etal. A randomized walking trial in postmenopausal women: Effects on physical activity and health 10years later. Arch Intern Med 1998; 158: 1695-1701.
30. Noble BJ. Clinical applications of perceived exertion. Med Sci Sports Exerc 1982; 14: 406-411.